| NPI | 1558375469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C LUIS-JORGE Medical Director 904-855-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCC5351) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-07-07 |